Kaylee's Anonymous Behavioral Survey

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This survey is completely anonymous and I am trying to collect data on behavior. Please answer honestly.

On a scale of 1 to 5, how religious are you? *

1 being not religious at all 5 being very religious.

1 (Not at all)

2 (I do not think about it much)

3 (Sort of)

4 (Very much so)

5 (100 percent)

On a scale of 1 to 5, how often do you attend church? *

1 being never 5 being every week.

1 (Never)

2 (I have tried it a couple of times)

3 (Once in a while)

4 (A few times a month)

5 (All of the time)

Do you drink alcohol? *

1 being never 5 being all of the time.

1 (Never)

2 (I have tried it a couple of times)

3 (Once in a while)

4 (A few times a month)

5 (All of the time)

Do you use drugs? *

1 being never 2 being all of the time.

1 (Never)

2 (I have tried drugs a couple of times)

3 (Once in a while)

4 (A few times a month)

5 (All of the time)

Are you or have you been sexually active? *

Yes

Please enter the age you started or tried consuming alochol.

If you do not drink regularly or have never consumed alcohol please leave blank.

Please enter the age you started or tried using drugs.

If you do not do drugs regularly or have never tried them please leave blank.

Please enter the age you first became sexually active.

If you are not sexually active and have never been sexually active please leave blank.

Please enter the age you first started to attend church.

If you do not go to church regularly or at least once a month please leave blank.

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